KRISTA HAZLETT Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007734

License Status

INACTIVE

Business

First Name

KRISTA

Last Name

HAZLETT

Business Name

KRISTA HAZLETT

Original Issue Date

06/10/2020

Effective Date

06/10/2020

Expiration Date

03/01/2022

City

MURFREESBORO

State

Zip

37128

Ever Disciplined

LastModifiedDate

09/09/2020